We Hit the Ground Running

This past Saturday, I had an egg retrieval for IVF!

Even though we hit a lot of obstacles getting to this point, it finally happened, and I am recovering well and quickly. I had to do injections for 14 days to prepare for the retrieval which included a trigger shot that I had to have my husband do for me. The trigger shot was a much larger needle than the rest of the injections (so far) and it had to be injected on my backside since it was an intramuscular injection.

I have had a LOT of appointments up until this point though and it is more than exhausting planning for things at school and making sub plans last minute (as I have already expressed my stress levels about). This past week, when things were still up in the air, I had to deal with a pretty stressful situation in which my brother saved my butt. I had an appointment on Wednesday morning where I was told I would most likely take my trigger shot that night and then have the egg retrieval on Friday. I had already taken time off for Friday earlier that week and had sub plans ready to go.

Then I got a phone call Wednesday afternoon around noon… I needed to take the stimulation medicine for one or two more days and that my retrieval was going to be pushed back to Saturday or Sunday, also I would have to go back in Thursday morning. I could deal with that and figure out the sub plans and time off, but I had a bigger problem: I was out of stimulation injections. The doctor offered to have someone on their team find some samples that I could come back to get. Then it got more interesting: I had to pick it up in their Richmond office (there were not any samples in Norfolk) and I had to pick it up before their office closed at 3:15. Also, I had to take these injections by 6:00pm. (Remember that I live in Newport News and work in Windsor).

I panicked a little bit and called my husband to try and figure this out. I had just gotten to work a little over an hour ago and if I was going to make it to Richmond in time, I would have to leave right now and find coverage for my classes. My husband was not able to leave work. I thought about how one of my brothers lived in Richmond and wondered if I could send him to pick up the medicines for me. I called my brother and, luckily for me, his classes had been canceled for the day. That meant he was free to do me a HUGE favor. I called the doctor’s office back, and finally got to a point where I could send my brother to pick up the medicine for me.

That morning I drove from Newport News to Norfolk, from Norfolk to Windsor, left work in Windsor immediately after the students left to drive to Richmond, and then drove back home to Newport News to take my medicines before my husband and I went to small group at church that night. I was TIRED that night.

After my appointment the next morning, I got the word that my follicles were finally big enough and my hormone levels were finally high enough. I took the trigger shot at 8:00pm on Thursday night to prepare for the egg retrieval at 8:00am on Saturday (it has to be precisely timed). My husband did the trigger shot for me Thursday night and then drove me to my appointment in Richmond early Saturday morning that we left for at 5:30am.

My husband cared for, and has continued to care for, me in the best ways. He made sure I was comfy, took a nap, ate foods I could handle, he has cooked and cleaned and taken care of everything as I have recovered.

Going into the retrieval, my doctor said that I had 6-7 follicles that would be possible eggs. Once I woke up from the procedure, the doctor told me that they got 6 eggs. This morning I got the phone call to let me know of the fertilization results of the 6 eggs:

  • 5 of the eggs were mature, 1 was not mature enough to do anything with
  • 1 of the eggs did not fertilize
  • 2 of the eggs definitely fertilized
  • 2 of the eggs could go either way

As of now, we are taking this as good news. I will get a phone call on Tuesday to let me know what time my possible appointment will be for an embryo transfer in Richmond on Thursday. Thursday morning they will give me a call to let me know if one of the embryos is developed enough for me to have a transfer that day or if they need to wait an extra day. The rest of the embryos (if we have any) will be frozen for us to try and have more kids later on.

I have been telling others that we are practicing cautious optimism. Of course we wish all of the eggs had fertilized, we also wish that we had a kid or two by now. The fertilized eggs still may not get to what is called blastocyst stage, so we are still praying for healthy development of the eggs that fertilized.

A quick shot of campus at my alma mater, CNU!

Infertility Doesn’t Rest

In the midst of COVID, political unrest, injustice, racial tension, and the possibilities surround the return to school, I made it a point to not release any blog posts. I did not want stories about my life to clog up the feed of what is important and good. I still am looking to keep my blog posts brief and infrequent because the quest for justice and peace does not rest: God does not rest.

That being said, I do feel like I owe some of you an update. A lot has happened since my last post regarding our infertility journey and I wanted to make this as quick and to the point as possible.

One thing I know is that my sisters and brothers battling infertility have probably felt more alone during quarantine than ever. Having to stay inside without children we so desire to fill our homes is haunting… the silence is haunting. I am the queen of distracting myself from my own feelings and the access to distractions decreased dramatically (Netflix is not as distracting as you would think.) Even when I do find something to do or try out or read, my mind comes back around to childlessness.

What has seemed like an eternity of waiting has truly been about five months of not really having a plan other than hurry up and wait. But my friends, it seems there is a glimmer of hope on the horizon:

  1. My endocrinologist released me from his care after managing my insulin resistance and bring my A1-C to a normal level. I will stay on metformin indefinitely.
  2. The management of my A1-C in addition to a new journey of a gluten-free diet has helped me lost a little bit of weight and for my periods to become somewhat regular, helping regulate my PCOS.
  3. My husband’s urologist is pleased with his increase in sperm count and motility and recommended IUI to our fertility specialist. He will remain on Clomid for the time being.
  4. Our fertility specialist left the practice and we did not find out until scheduling another appointment.
  5. Our new infertility doctor is very sweet and is moving us forward with IUI (inter-utero insemination).
  6. I started my period on day 36 of my cycle (I said SOMEWHAT regular) this past week, launching our journey into IUI.

The next couple weeks will be a rollercoaster. I started taking Letrozole (a hormone to spark ovulation induction) yesterday and will take it until Tuesday night. Wednesday morning I go in for an ultrasound to check on my ovaries and uterine lining. If the eggs/follicles are large enough and there is an appropriate number of them ready, I will start FSH injections at home to induce ovulation, releasing the eggs from my ovaries. Then, Lord willing, I will undergo the IUI procedure, which involves insemination using a catheter bypassing my cervix and increasing chances of fertilization.

The IUI procedure and journey seems like a lot less invasive of a procedure than IVF and much cheaper, making it a very feasible option for us. I am still not clear on all of the details, as this is brand new for us. We are so very excited for these prospects and pray for a baby in the next year. We know that like all infertility patients, this may not go as planned and it seems almost foolish to have any sort of hope or optimism, but our hope is in Jesus Christ first. We know that God’s plan for us may look nothing like what we think it will look like, but we continue to pray for God to align our hearts and desires with His plan, not our own. So far, he has not taken away our desire for children, and I have hope he might be on to something.

Sunrise on the water, Nags Head, North Carolina

Quick Question(s)

I have had a lot of thoughts on my mind recently. As the name of this blog suggests, I am going to verbally process (through typing). I know a lot of what I am about to say is dumb and many of you will have thoughts and things to say, but know that I am not seeking advice or pity. I just need to get this out:

I have struggled a lot with what is in line with God’s plan and our having children. I end up asking myself many questions, many of which conflict with each other:

  • What if it’s God’s plan for us not to have kids?
  • How will we know whether it is or not?
  • Are we not trusting in God enough if we go to see the doctor?
  • Aren’t doctors God’s will?
  • At what point will we know if we’re just being stubborn?
  • Is it wise to spend money on medical bills for something that may never happen?
  • How do I know if I am not trusting the Lord?
  • What the heck is wrong with me?

My husband has been very helpful in allowing me to ask these questions out loud so that they don’t seem so ridiculous and we can talk through and pray about them. But one thing lingers. The greatest internal struggle that I am harboring the most is this: What is the balance between trusting in the natural human body and God’s sovereignty versus utilizing modern medicine, which was created by God? How I wish there was a meter that could show me what my heart is truly placing trust in.

Soon, it will be time to go back to school. Assuming I do not get pregnant this month, the next steps involve a higher dose of ovulation hormones paired with direct injections of another hormone.

My. Poor. Students.

Knowing what the lower dosage of just one hormone did to my mood and emotions, I can only imagine what the next steps will be like. If you are a coworker of mine, I apologize in advance (although many of you that know me well enough know that I do not have any trouble saying “I’m sorry”). Know that I will continue to do my best at work and put my students first always, but also know that if you hear the kids saying things about me going crazy, there is at least a reason this time.